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Childhood Development Milestones

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Childhood Development Milestones
Growth and Development Milestones

Growth and Development Milestones

August 2013

NRSG 206

Growth and Development Milestones

Infant (1-12 months)

Physical Growth: All major systems undergo progressive maturation. Growth is very rapid during the first year, especially the initial 6 months. Infants gain 5-7 oz. every week for the first 6 months. By the end of the first year the infant’s weight is about three times the birth weight. Height increases by 2.5 cm each month for the first 6 months. 6 months to year 1 growth comes in spurts rather than gradual patterns. Head growth is rapid. Head circumference increases approximately 1.5 cm each month, 6 months to 1 year by 0.5 cm. By the
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Visual acuity begins to improve, and binocular fixation is established. Binocularity, or the fixation of two ocular images into one cerebral picture, begins to develop by 6 weeks of age and should be well established by age 4 mos. Depth perception begins to develop by age 7 to 9 months by may exist earlier as an innate safety mechanism against accidental falling.

|Erikson |Kohlberg |Piaget |Freud |
|Psychosocial development – |Premorality or preconventional |Cognitive development – |Oral stage – mouth is pleasure |
|developing sense of trust |morality |sensorimotor phase |producer |

|Age |Gross motor |Fine motor |
|1 – 3 month |Can turn head from side to side |Hands predominately closed, grasp reflex
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Toddlers may become picky or fussy eaters. They can be influenced by factors of an overfilled plate, thus refusing it because of its size. Toddlers may have a favorite cup, plate or spoon and may refuse food because the food may be on a different plate.

Health Promotion: • Wellness Examinations: 12 months, 15-18 months, then yearly after age 2 • Immunizations: Between 12-18 months the following vaccines are given: Hep B (3rd shot in the series), DTaP, Hib, PCV, IPV, MMR, Varicella, and first of two Hep A injections. A yearly flu shot should also be given. • Dental Health: Brush and floss teeth, need regular dentist visits, need a fluoride supplement if it is not in the drinking water

Injury Prevention: Don’t allow the child to play on or near a curb or behind parked cars, supervise tricycle riding, turn pot handle toward the stove, move electrical appliances toward the back of the counter, cover electrical outlets with protective caps, place all potentially toxic agents in a locked cabinet, know the poison control number, place gates at the top and bottom of stairs, remove scatter rugs, keep large toys and bumper pad out of the crib or playpen, avoid fish with bones, hard candy, or chewing gum, keep Venetian blind cords out of reach of children, store dangerous tools and firearms in a locked

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